Provider Demographics
NPI:1669929733
Name:LE, CAROLYN (DNP, AGNP-C, CRNP)
Entity type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:
Last Name:LE
Suffix:
Gender:F
Credentials:DNP, AGNP-C, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7315 WISCONSIN AVENUE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814
Mailing Address - Country:US
Mailing Address - Phone:240-751-5233
Mailing Address - Fax:
Practice Address - Street 1:7315 WISCONSIN AVENUE
Practice Address - Street 2:SUITE 700
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814
Practice Address - Country:US
Practice Address - Phone:240-235-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR195977363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner